Technology Assisted Collaborative Care Intervention to Improve Patient-centered Outcomes in Dialysis Patients

This study is testing a technology-assisted care program to help people on regular dialysis (three times per week) manage their care better and improve their quality of life. The program connects patients with a care team through digital tools to support decision-making and address patient concerns between clinic visits. **You may be eligible if...** - You are 18 or older - You have been on dialysis (hemodialysis) three times per week for more than 3 months - You speak English or Spanish - You are able to give informed consent **You may NOT be eligible if...** - You have active psychosis, delusions, or active suicidal thoughts - You have active substance abuse - You are enrolled in hospice care or have a life expectancy under 6 months - You are too unwell or have significant cognitive impairment - You have a kidney transplant scheduled within the next 3 months - You are receiving active treatment for cancer - You are already in another research study - You plan to switch to home dialysis or move to another dialysis center within 3 months Talk to your doctor to see if this trial is right for you.